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Tobacco smoking can lead to lung cancer, chronic bronchitis, and emphysema

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Notably, many studies did not differentiate between long and short-term effects or distinguish between populations that, despite being healthy, use tobacco (61, 68)

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Dion, chief of the state Office of Revenue Analysis, said the increase in cigarette-tax revenue is also the result of stepped-up efforts to stop sales of smuggled cigarettes, as well as a recent change in state law that allows more varieties of so-called little cigars to be taxed like cigarettes